绝经后妇女子宫内膜病变患者宫腔镜诊断分析70例

目的：探讨绝经后妇女子宫内膜病变采用宫腔镜诊断的价值。方法：对2009年5月至2011年8月收治的绝经后子宫内膜病变患者的诊治进行回顾。所有患者均采用OLYMPUS宫腔镜检查,手术选择在月经干净后3～7天进行,绝经后阴道出血者于无出血或出血减少时进行检查,对可疑病变者取多处组织进行病理学检查。所有活检组织标本均经常规病理制片、HE染色、由多个病理医师共同阅片、讨论并作出诊断。结果：宫腔镜检查结果显示子宫内膜息肉15例,占21.43%;子宫内膜下肌瘤23例,占32.86%;子宫内膜炎15例,占21.43%;子宫内膜增生13例,占18.57%;子宫内膜癌4例,占5.71%。病理检查结果显示子宫内膜息肉14例,占20.00%;子宫内膜下肌瘤23例,占32.86%;子宫内膜炎15例,占21.43%;子宫内膜增生11例,占15.71%;子宫内膜癌4例,占5.71%;正常子宫内膜3例,占4.29%。宫腔镜与病理检查结果符合率为95.71%（67/70）。结论：宫腔镜具有较高的诊断价值,可避免漏诊以及过度治疗,能尽早发现子宫内膜病变。

Diagnostic Analysis on Hysteroscope of 70 Cases of Postmenopausal Women with Endometrial Disease

Objective： To explore diagnostic value of hysteroscope for endometrial disease in postmenopausal women. Method： Data of patients admitted from May, 2009 to August, 2011 were reviewed retrospectively; all patients received hysteroscopy at the third to seventh day after menstruation, postmenopausal women were examined when there was no bleeding or less bleeding. Tissue from suspicious lesion was given with pathological examination. All samples of biopsy tissue were made with routine pathological section and HE staining, read, discussed and diagnosed by many pathological doctors. Result： Results of hysteroscope suggested that there were 15 cases of endometrial polyp and reached 21.43%; 23 cases of hysteromyoma and 32.86%; 15 cases of endometritis and 21.43%; 13 cases of hyper- plasia endometrii and 18.57%; 4 cases of endometrial carcinoma and 5.71%. Result of pathological examination indi- cated that 14 cases of endometrial polyp and reached 20.00%; 23 cases of hysteromyoma and 32.86%; 15 cases of en- dometritis and 21.43%; 11 cases of hyperplasia endometrii and 15.71%; 4 cases of endometrial carcinoma and 5.71%; 3 cases of normal endometrium and 4.29%. Coincidence rate of hysteroscope and result of pathological examination reached to 95.71% （67/70）. Conclusion： Hysteroscope can avoid misdiagnosis and over-treatment, help find endometri- al disease early with a higher diagnosis rate.